Individual
MR. MARK ANTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 2ND ST NW # 2N, WASHINGTON, DC 20001-2003
(202) 783-7343
(202) 347-5476
Mailing address
425 2ND ST NW # 2N, WASHINGTON, DC 20001-2003
(202) 783-7343
(202) 347-5476
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPRS0103
DC
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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